%0 Journal Article %T Criteria to indicate Kidney biopsy in type 2 diabetic patients with proteinuria: Survey among French nephrologists %T Critères d’indications de la biopsie rénale chez les patients diabétiques de type 2 protéinuriques : enquête auprès des néphrologues français %+ Université de Rennes - Faculté de Médecine (UR Médecine) %+ MICrobiologie de l'ALImentation au Service de la Santé (MICALIS) %+ Hôpital Pontchaillou %+ AP-HP - Hôpital Bichat - Claude Bernard [Paris] %+ Centre de recherche sur l'Inflammation (CRI (UMR_S_1149 / ERL_8252 / U1149)) %+ Institut de recherche en santé, environnement et travail (Irset) %+ CHU Pontchaillou [Rennes] %A Chemouny, Jonathan Maurice %A Sannier, Aurélie %A Hanouna, Guillaume %A Raimbourg, Quentin %A Daugas, Eric %A Vigneau, Cécile %A Vrtovnsik, François %Z Cette étude n’a pas reçu de soutien financier de la part d’une entité publique, privée ou associative. %< avec comité de lecture %@ 1769-7255 %J Néphrologie & Thérapeutique %I Elsevier Masson %V 15 %N 7 %P 524-531 %8 2019-12 %D 2019 %R 10.1016/j.nephro.2019.05.004 %M 31718993 %K Proteinuria %K Poll %K Diabetic nephropathy %K Renal biopsy %K Type 2 diabetes %K Protéinurie %K Biopsie rénale %K Diabète de type 2 %K Enquête d’opinion %K Néphropathie diabétique %Z Life Sciences [q-bio] %Z Life Sciences [q-bio]/Human health and pathology/Urology and NephrologyJournal articles %X Diabetic nephropathy is usually a presumptive diagnosis based on clinical and biological evidence. Renal biopsies are performed in diabetic patients with atypical findings evoking non-diabetic renal disease who could benefit from specific therapies. French speaking nephrologists were asked which criteria they retain to indicate renal biopsy in patients with type 2 diabetes and albuminuria>0.5g/day or equivalent through an online anonymous questionnaire. Among the suggested criteria were absence of diabetic retinopathy, hematuria, rapid decrease in GFR, short diabetes duration or rapid raise of proteinuria. 188 people answered the poll among whom interns (12%), fellows (13%), university hospital practitioners (26%), general hospital practitioners (24%), practitioners in a non-profit organization (13%), practitioners on private activity (10%), multi-modal practitioners (3%) and people without clinical activity (2%). Increasing proteinuria was retained as an indication criterion for renal biopsy by 51% of respondents, nephrotic syndrome by 56% of respondents, absence of diabetic retinopathy by 57% of respondents, short diabetes duration by 65% of respondents, rapid GFR decline by 75% of respondents and hematuria by 78% of respondents. These data highlight the high diversity of opinions on this topic and their discrepancies with guidelines and current literature regarding the association between non-diabetic renal disease and clinical and biological features. The lack of adhesion of nephrologists to guidelines was especially noteworthy regarding the absence of diabetic retinopathy. These results emphasize the need for studies focusing on biopsy indication criteria in patients with type 2 diabetes. %G French %2 https://univ-rennes.hal.science/hal-02396569/document %2 https://univ-rennes.hal.science/hal-02396569/file/Chemouny%20et%20al-2019-Crit%C3%A8res%20d%E2%80%99indications%20de%20la%20biopsie%20r%C3%A9nale%20chez%20les%20patients-Accepted.pdf %L hal-02396569 %U https://univ-rennes.hal.science/hal-02396569 %~ UNIV-PARIS7 %~ AGROPARISTECH %~ UNIV-RENNES1 %~ CNRS %~ UNIV-ANGERS %~ INRA %~ APHP %~ IFR140 %~ HL %~ IRSET %~ STATS-UR1 %~ IRSET-SMS %~ IRSET-CCII %~ IRSET-TREC %~ IRSET-HIAEC %~ IRSET-SMLF %~ IRSET-ERD %~ IRSET-VCER %~ IRSET-NEED %~ IRSET-TNGC %~ UR1-UFR-SVE %~ UR1-HAL %~ USPC %~ UR1-SDV %~ UNIV-PARIS-SACLAY %~ AGREENIUM %~ IRSET-8 %~ AGROPARISTECH-SACLAY %~ INRA-SACLAY %~ TEST-UR-CSS %~ UNIV-RENNES %~ INRAE %~ UNIV-PARIS %~ UP-SANTE %~ TEST-HALCNRS %~ UR1-BIO-SA %~ GS-BIOSPHERA %~ GS-HEALTH-DRUG-SCIENCES %~ MICALIS